Working closely with the Vice President - Surety Claims, the Assistant Vice President - Surety Claims plays an integral role in the collaboration and design of policies and procedures within the Claims department to achieve quality claims handling results while ensuring compliance with company proce...
Ten or more years of experience as a claim professional or claims manager with a high degree of competence in the handling of complex casualty claims involving catastrophic injuries. The individual will be responsible for delivering excellent financial and service results as well as a high-quality p...
Ankura's Forensic Accounting and Insurance Claims Consulting ("FAICC") practice focuses on assisting corporations in the quantification and presentation of first party insurance claims resulting from a loss reimbursable by an insurance policy. Ankura's Forensic Accounting and Insurance Cla...
Individual contributor responsible for the direct handling and management of complex and high exposure claims in our Major Litigation Unit. Has national or company-wide scope of responsibility within the commercial claims department. Manages an inventory of highly complex commercial claims with larg...
Are you a detail-oriented and enthusiastic claims professional? Join our team at SGD as a TPA Claims Examiner, working remotely. You will play a crucial role in evaluating insurance claims and facilitating the resolution process for our clients. This position requires excellent communication skills,...
Description: Reviews claims and makes payment and benefit determination. Conducts research as it relates to claims processing for medical appropriateness, and diagnosis, using ICD-9 codes and CPT codes as required. Essential Functions:- Reviews claims and makes payment determination with authorizati...
Provides counsel and advice on a wide range of health care-related matters and assesses legal risk impacting KP business and/or clinical operations, proposing solutions.Conducts legal research, interprets laws and rules, and regulations, and analyzes judicial decisions by applying advanced and in-de...
Claims Service Representative I - Early Response. When you join the Auto Club as a Claims Representative, you’re bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. As a representative within our Claims department you will:. Assess cl...
Extensive technical Claims knowledge (policies, coverage, regulation, claims processing) and proven ability to understand critical drivers within the Claims organization. Responsible for high exposure and litigated claims for the Core Auto andmercial Auto books of business, along with workerspensati...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
The Claims Investigator should demonstrate proficiency in the following areas: AOE/COE, Auto, or Homeowners Investigations. ...
The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. Assesses policy coverage for submitted claims and notifies the insured of any issues; determine...
Investigates and maintains claims:. Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handling is conducted in compliance with applicab...
The Patient Business Services Disability Claims Processor is responsible for abstracting medical information and diagnosis, using ICD-9 codes as required. Coordinates disability claims with employers, insurance carriers, Unions, State Disability Offices, Workers Compensation and/or other third party...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
We are currently seeking a highly experienced and detail-oriented Workers Compensation Claims Adjuster III. In this role, you will be responsible for managing a portfolio of complex workers' compensation claims from inception to resolution. Assure that all assigned indemnity claims have an up to dat...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
Reporting to the Claims Manager, you will be responsible for managing a diary system to ensure timely benefit administration and superior claims management. We deliver operations, consulting and technology solutions across the risk and insurance value chain, including excellence in claims, underwrit...
Communicating with claimants, employers and various medical professionals through phone and e-mail to gather necessary claim information, managing the claim process from the initial request to the return to work.Collaborating with fellow case managers, nurse case managers, and consulting physicians ...
Commercial and/or Personal Lines Claims Representative positions. Prepare and submit First Report of Claims to carriers. Document, track, and facilitate claims assignments. Work in agency management system to document communications and track claims. ...
Claims Adjuster - Workers Compensation. The main function of a Workers' Compensation Claims Adjuster is to investigate, analyze, and determine the extent of insurance company's responsibility for lost wages, medical benefits, and permanent impairment. Workers Compensation handling California Claims....
Responsibilities include determining benefits due; ensuring management of claims within internal claims management guidelines and in compliance with applicable laws; and identifying opportunities for, managing subrogation of claims, and negotiating settlements. The Workers Compensation Risk Analyst ...
Reporting to the Team Leader, the Claims Adjuster, Auto is responsible for providing a consistently high level of service by investigating insurance claims for insurers or third parties and negotiating settlement of the claims to the satisfaction of all parties. Manages comprehensive desktop investi...
The Senior Claims Examiner administers health plan contracts by processing medical claims in an efficient, cost-effective, and timely manner meeting all required guidelines and performs adjustments as necessary. Minimum two (2) years medical claims processing experience. ...
We are seeking a skilled Workers Compensation Claims Adjuster II. The ideal candidate will have a strong background in handling complex workers' compensation claims, demonstrating expertise in investigation, evaluation, negotiation, and settlement. Assure that all assigned indemnity claims have an u...